| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,360 |
1,334 |
$93K |
| V2020 |
Frames, purchases |
1,324 |
1,283 |
$33K |
| 92015 |
Determination of refractive state |
2,377 |
2,340 |
$27K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,161 |
1,124 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
207 |
206 |
$20K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
651 |
367 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,624 |
790 |
$9K |